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NPI 1275394108

NPI 1275394108 : ARIADNA N/A RIGOL PRAT : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1275394108
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    Entity Type          |    Individual 
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    Provider Name        |    ARIADNA N/A RIGOL PRAT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/18/2024
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    Last Update Date     |    11/10/2024
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Provider Practice Location Address
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    Address Line         |    2411 LANDMARK DR 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27607-6524
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    Country              |    US
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    Telephone            |    919-788-4203
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13935 GARY FISHER TRL 
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    City                 |    GAINESVILLE
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    State                |    VA
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    Zip                  |    20155-3364
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    Country              |    US
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    Telephone            |    703-419-0720
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    33535
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    License Number State |    NC
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